Bares, Sandra E

Bares, Sandra E is an individual health care provider with primary practice located at 3857 Martin Way E , Olympia WA 98506. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bares, Sandra E can be contacted via phone (360) 704-7170.

Contact Information

Primary practice address
3857 Martin Way E Olympia WA 98506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1053831057
LBN Legal business name Bares, Sandra E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Jun 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053831057 NPPES
Washington MEDICAID 100162

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